{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:54:00Z","timestamp":1772160840405,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003758","name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa e ao Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico do Maranh\u00e3o","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003758","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Oral Diseases"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To investigate pathways from micronutrient intake and serum levels to Chronic\n                      <jats:italic>Oral Diseases Burden<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We analyzed cross\u2010sectional data from NHANES III (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20097936) and NHANES 2011\u20132014 (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094929). The exposure was the intake and serum levels of vitamin D, calcium, and phosphorus. Considering the high correlation of those micronutrients in the diet, they were analyzed as a latent variable dubbed\n                      <jats:italic>Micronutrient intake<\/jats:italic>\n                      . The outcome was the\n                      <jats:italic>Chronic Oral Diseases Burden<\/jats:italic>\n                      ,\n                      <jats:italic>a latent variable formed by<\/jats:italic>\n                      probing pocket depth, clinical attachment loss, furcation involvement, caries, and missing teeth. Pathways triggered by gender, age, socioeconomic status, obesity, smoking, and alcohol were also estimated using structural equation modeling.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In both NHANES cycles,\n                      <jats:italic>micronutrient intake<\/jats:italic>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u2009&lt;\u20090.05) and vitamin D serum (\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u2009&lt;\u20090.05) were associated with a lower\n                      <jats:italic>Chronic Oral Diseases Burden<\/jats:italic>\n                      .\n                      <jats:italic>Micronutrient intake<\/jats:italic>\n                      reduced the\n                      <jats:italic>Chronic Oral Diseases Burden<\/jats:italic>\n                      via vitamin D serum (\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u2009&lt;\u20090.05). Obesity increased\n                      <jats:italic>the Chronic Oral Diseases Burden<\/jats:italic>\n                      by reducing vitamin D serum (\n                      <jats:italic>p<\/jats:italic>\n                      \u2010value\u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Higher micronutrient intake and higher vitamin D serum levels seem to reduce\n                      <jats:italic>Chronic Oral Diseases Burden<\/jats:italic>\n                      . Healthy diet policies may jointly tackle caries, periodontitis, obesity, and other non\u2010communicable diseases.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/odi.14640","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T06:20:31Z","timestamp":1686205231000},"page":"2685-2694","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Intake and serum levels of micronutrients and chronic oral diseases burden"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9010-7930","authenticated-orcid":false,"given":"Susilena Arouche","family":"Costa","sequence":"first","affiliation":[{"name":"Graduate Program in Dentistry Federal University of Maranh\u00e3o  S\u00e3o Lu\u00eds Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4288-6300","authenticated-orcid":false,"given":"Gustavo G.","family":"Nascimento","sequence":"additional","affiliation":[{"name":"National Dental Research Institute Singapore National Dental Centre Singapore  Singapore City Singapore"},{"name":"Oral Health ACP, Duke\u2010NUS Medical School  Singapore City Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8053-4517","authenticated-orcid":false,"given":"F\u00e1bio R. 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